=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013868850
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEYO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2026
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1010 N 500 E STE 340
-----------------------------------------------------
City | NORTH SALT LAKE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84054-1956
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-452-5511
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 884 N ELLISON RD
-----------------------------------------------------
City | KAYSVILLE
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84037-5501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-452-5511
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER/THERAPIST
-----------------------------------------------------
Name | KREG EDGMON
-----------------------------------------------------
Credential | PHD LMFT, CEO
-----------------------------------------------------
Telephone | 801-452-5511
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------